Oral
Spironolactone
Aldactone, Spiractin
- Mechanism of Action
- Inhibits the action of aldosterone on sodium-potassium exchange pumps in the distal convoluted tubule.
- Pharmacology
- Potassium-sparing diuretics.
Clinical Use
- Indications
- Refractory hypertension
- Refractory heart failure
- Peripheral oedema – due to congestive cardiac failure / renal failure / nephrotic syndrome / cirrhosis
- Symptomatic ascites
- Maintenance therapy for hypokalaemia
- Primary aldosteronism
- Hirsutism
- Adverse Effects
- Gynaecomastia
- Nausea / vomiting / cramping / diarrhoea
- Fatigue
- Hyperkalaemia
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